Organization Active NPI

Conrad H Easley MD PC

  • Orthopaedic Surgery Physician
  • Dalton, GA
National Provider Identifier
1447590963
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CONRAD H EASLEY MD PC
Practice address
1501 Broadrick Dr
Suite # 3
Dalton, GA 30720-3014
Phone
(706) 226-6318
Fax
(706) 278-6031
NPI assigned
Feb 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Claudette Easley
Title
Secretary
Phone
(706) 226-6318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1501 Broadrick Dr
Suite # 3
Dalton, GA 30720-3014

Mailing address

1501 Broadrick Dr
Suite # 3
Dalton, GA 30720-3014
Phone (706) 226-6318

National Provider Directory

National Provider Directory

Locations

1501 Broadrick Dr
Ste 3
Dalton, GA 30720
Phone (706) 226-6318

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1447590963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADRICK DR",
            "address_2": "SUITE # 3",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203014",
            "telephone_number": "706-226-6318",
            "fax_number": "706-278-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BROADRICK DR",
            "address_2": "SUITE # 3",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203014",
            "telephone_number": "706-226-6318",
            "fax_number": "706-278-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONRAD H EASLEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "706-226-6318",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.